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Conservative treatment of a pathological fracture in a 3-year-old boy with primary hyperoxaluria type I.
[primary hyperoxaluria type 1]
Primary
hyperoxaluria
type
I
is
a
rare
inherited
disease
that
presents
a
disturbed
metabolism
of
glyoxylate
.
Consequently
,
patients
suffer
from
hyperoxaluria
,
leading
to
renal
failure
and
subsequent
skeletal
calcium
oxalate
deposition
.
Areas
with
high
concentrations
of
calcium
oxalate
,
so
-called
dense
metaphyseal
bands
,
are
at
risk
for
pathological
fracturing
.
The
primary
disease
is
treated
by
combined
liver
-kidney
transplantation
,
although
pathological
fracturing
also
occurs
in
the
posttransplant
period
.
In
the
current
case
,
we
present
a
3
-
year
-old
boy
with
a
pathological
fracture
of
his
right
femur
,
2
years
after
liver
-kidney
transplantation
.
We
opted
for
a
conservative
regime
,
leading
to
good
fracture
healing
.
As
there
are
limited
data
in
the
literature
regarding
treatment
of
fractures
in
these
patients
,
it
is
important
to
notify
the
outcome
of
conservative
treatment
of
pathological
fractures
in
patients
with
primary
hyperoxaluria
type
I
.
Diseases
Validation
Diseases presenting
"although pathological fracturing also occurs in the posttransplant period"
symptom
primary hyperoxaluria type 1
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